UHC Medicare Certification Exam (2024/2025) | Actual Questions and Answers Latest Updated 2024/2025 (Graded A+)

UHC Medicare Certification Exam (2024/2025) |
Actual Questions and Answers Latest Updated
2024/2025 (Graded A+)

1. Cynthia is turning 65 on July 5.Her Medicare Part A and Part B will be effective .1, .1, .1, .1, .1, .1 , .1, .1, .1, .1, .1, .1 , .1, .1, .1, .1,




onJuly1.UsingherInitialElectionPeriod(IEP),whencanshesubmit an application
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for a Medicare Advantage or Prescription Drug plan?
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March1throughJuly31 ,
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April 1 through October 31 .1 , .1, .1, .1,




July1through December30.1, .1, .1, .1,




June 1 through July 31 ANS:NotJuly 1 - Dec 30 -WRONG
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April 1 through October 31 - CORRECT
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2. Annual Election Period (AEP) is a time when... .1 , .1 , .1, .1 , .1, .1, .1, ,
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ConsumerscanonlydisenrollfromtheirMedicareAdvantageorPrescription Drug ,
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Plan and return to Original Medicare.
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ConsumerscanonlyenrollinaMedicareAdvantagePlanorswitchtoa different .1, .1, .1, .1, .1, .1, .1, .1, .1, .1, .1, .1, .1,




Medicare Advantage plan.
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ConsumerscanelecttoswitchtoadifferentplanorjoinaMedicareAdvantage plan o ,
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Prescription Drug Plan.
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Only certain Medicare-eligible consumers can make changes. ANS: Consumers
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can elect to switch to a different plan or join a Medicare Advantage plan or Prescription
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Drug Plan.
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3. Which statement regarding Star Ratings is true? .1 , .1 , .1, .1, .1 , .1,




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,Medicareusesa 5-starratingsystemtoillustrateaplan'sperformanceand quality. .1, .1, .1, .1, .1, .1, .1, .1, .1, .1, .1, .1,




The agent said that the Star Ratings are based on a plan's performance from two
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yearsagoand,therefore,donotaccuratelyreflectaplan'scurrentvalue. Star
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Ratings are based on a plan's performance from the prior year and, therefore, may
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not accurately reflect a plan's current value.
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Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a,
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market as measured by membership and retention rates. ANS: Medicare uses a 5-
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star rating system to illustrate a plan's performance and quality.
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4. Which of the following is not considered unsolicited contact with a Medicare
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eligible consumer according to CMS regulations and UnitedHealthcare's rules,
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policies, and procedures?
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Emailingamarketingbrochuretoaconsumerwhoseemailaddresswas obtained o
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a purchased lead list.
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Approaching a consumer in a common area of a senior living complex. .1, .1, .1, .1, .1, .1, .1, .1, .1, .1, .1,




Placingamarketingbrochure onthedoorhandleoftheconsumer'sresi-
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dence.
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Mailinga marketingbrochuretotheconsumerviapostalmail. ANS:Mailinga
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marketing brochure to the consumer via postal mail
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2/ 16
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, 5. What information should be obtained from the consumer when conducting a
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thorough needs assessment? (Select 2)
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The providers they see and medications they take to determine network and
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formulary status.
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Their current health care coverage, including what they like about it and what they
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don't.
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Their favorite foods and hygiene products to determine if they are covered by a
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grocery allowance ANS: The providersthey see and medications they take to determine
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network and formulary status.
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Theircurrenthealthcarecoverage,includingwhattheylikeaboutitandwhatthey don't.
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6. When completing an enrollment application in LEAN, why is an agent pro- .1, .1 , .1, .1 , .1 , .1 , ,
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hibited from entering his or her own email address in a field available for the
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consumer's email address?
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The enrollment application may be denied.
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The consumer/member would not receive plan related correspondence in-
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tended for him/her.
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Theagentmayexperiencecommissionpaymentprocessingissues. ANS:Thecon-
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sumer/memberwouldnotreceiveplanrelatedcorrespondenceintendedforhim/her
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7. What is the purpose of the Statement of Understanding?.1, .1, .1, .1, .1, .1, .1, .1,




ItensuresthatwhenconsumerssigntheMedicareAdvantageand/orPart D
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Enrollment Application,they are acknowledging their understanding of
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monthly premiums and deductibles.
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ItensuresthatwhenconsumerssigntheMedicareAdvantageand/orPart D
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Enrollment Application,they are acknowledging their understanding of
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standard enrollment and disenrollment procedures.
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It ensures that when consumers complete the Medicare Advantage and/or Part D
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Enrollment Application, they are acknowledging their understanding thatthey
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areactuallyenrolling,inwhichplantheyareenrolling,andstandard disclosures.
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